Most Relevant Information
Provider Data
| NPI Number: | 1003389743 |
| Provider Name: | TANIA CASTANEDA |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: | F5592817 |
Most Important Dates
| Enumeration Date: | 01/04/2019 |
| Last Updated: | 01/18/2019 |
Provider Practice Location
1196 THIRD AVE FL 1
CHULA VISTA
CA
919113103
Practice Location Phone/Fax
| Phone: | 6197453596 |
| Fax: |
Provider Mailing Location
1196 THIRD AVE
CHULA VISTA
CA
919113131
Provider Mailing Phone/Fax
| Phone: | 6197453596 |
| Fax: |